Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $110.00 / $139.00	Professional		$97.52	$110.00	$139.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $105.83 / $153.00	Professional		$54.51	$105.83	$153.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $61.80 / $108.00	Facility		$60.00	$61.80	$108.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $260.00 / $260.00	Facility		$60.00	$260.00	$260.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $170.00	Professional		$129.00	$129.00	$170.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $61.80 / $108.00	Facility		$60.00	$61.80	$108.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.83 / $185.47 / $198.00	Professional		$174.83	$185.47	$198.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $150.00 / $260.00	Facility		$110.00	$150.00	$260.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Professional		$130.00	$130.00	$130.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $106.20 / $118.08	Professional		$85.00	$106.20	$118.08
United Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $129.00 / $129.00	Professional		$129.00	$129.00	$129.00